Sequential, Multiple Assignment, Double Randomized Preference, Migraine Behavioral Trial

NCT ID: NCT06170281

Last Updated: 2024-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-15

Study Completion Date

2025-12-31

Brief Summary

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This study will unpack the behavioral intervention for migraine and determine the optimum combinations. In addition, the study will test preference and self-selection effects during the trial.

Detailed Description

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After a 4-week screening period, eligible candidates (14 headache days in 4 week period, with 8 days being migraine) will be randomized into 2 arms -

* Choice Arm: allowed to choose from a menu of migraine behavioral treatment options
* Random: randomized to migraine behavioral treatment options.

After 6 weeks, all participants will be assessed for their migraine frequency. Patients will be considered Responders if the migraine frequency is reduced to 50%. The Non-responders (NR) of the Choice Arm will be again given a chance to pick any of the 3 arms. The NR of the randomized arm will be randomized to any of the 3 arms. The responders will continue for 6 more weeks in their original arms. By the end of the 12 weeks, all participants will complete the study, and migraine frequency will be compared between the different groups. All behavioral interventions will be delivered virtually.

Conditions

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Migraine Headache Chronic Migraine Headache Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Random - ME

participants will be randomized to an intervention involving regular mealtime and regular timed exercise

Group Type ACTIVE_COMPARATOR

Migraine Behavioral Treatment

Intervention Type BEHAVIORAL

Migraine Behavioral Treatment involving daily activities

Random - MS

participants will be randomized to an intervention involving regular mealtime and regular sleep

Group Type ACTIVE_COMPARATOR

Migraine Behavioral Treatment

Intervention Type BEHAVIORAL

Migraine Behavioral Treatment involving daily activities

Random - SE

participants will be randomized to an intervention involving regular sleep and regular timed exercise

Group Type ACTIVE_COMPARATOR

Migraine Behavioral Treatment

Intervention Type BEHAVIORAL

Migraine Behavioral Treatment involving daily activities

Choice - ME

this arm belongs to participants who choose the intervention involving regular mealtime and regular timed exercise

Group Type ACTIVE_COMPARATOR

Migraine Behavioral Treatment

Intervention Type BEHAVIORAL

Migraine Behavioral Treatment involving daily activities

Choice - MS

this arm belongs to participants who choose the intervention involving regular mealtime and regular sleep

Group Type ACTIVE_COMPARATOR

Migraine Behavioral Treatment

Intervention Type BEHAVIORAL

Migraine Behavioral Treatment involving daily activities

Choice - SE

this arm belongs to participants who choose the intervention involving regular sleep and regular timed exercise

Group Type ACTIVE_COMPARATOR

Migraine Behavioral Treatment

Intervention Type BEHAVIORAL

Migraine Behavioral Treatment involving daily activities

Interventions

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Migraine Behavioral Treatment

Migraine Behavioral Treatment involving daily activities

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* have chronic migraine for a minimum of 1-year
* aged 18 years and older

Exclusion Criteria

* secondary headache disorders
* children younger than 18 years old
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Dr. Yohannes Woldeamanuel, MD

Instructor at Department of Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yohannes W Woldeamanuel, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford University

Stanford, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Yohannes W Woldeamanuel, MD

Role: CONTACT

+1-650-304-6402

Banu Rajasekaran, MS

Role: CONTACT

+1-650-304-6402

Facility Contacts

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Banu P Rajasekaran, MS

Role: primary

650-304-6402

References

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Woldeamanuel YW, Sanjanwala BM, Peretz AM, Cowan RP. Exploring Natural Clusters of Chronic Migraine Phenotypes: A Cross-Sectional Clinical Study. Sci Rep. 2020 Feb 18;10(1):2804. doi: 10.1038/s41598-020-59738-1.

Reference Type BACKGROUND
PMID: 32071349 (View on PubMed)

Woldeamanuel YW, Cowan RP. The impact of regular lifestyle behavior in migraine: a prevalence case-referent study. J Neurol. 2016 Apr;263(4):669-76. doi: 10.1007/s00415-016-8031-5. Epub 2016 Jan 25.

Reference Type BACKGROUND
PMID: 26810728 (View on PubMed)

Woldeamanuel YW, Blayney DW, Jo B, Fisher SE, Benedict C, Oakley-Girvan I, Kesler SR, Palesh O. Headache outcomes of a sleep behavioral intervention in breast cancer survivors: Secondary analysis of a randomized clinical trial. Cancer. 2021 Dec 1;127(23):4492-4503. doi: 10.1002/cncr.33844. Epub 2021 Aug 6.

Reference Type BACKGROUND
PMID: 34357593 (View on PubMed)

Other Identifiers

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K01NS124911

Identifier Type: NIH

Identifier Source: secondary_id

View Link

70767

Identifier Type: -

Identifier Source: org_study_id

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